<%-- 
    Document   : Cotizaciones
    Created on : 16/05/2013, 08:14:34 PM
    Author     : cvalentin
--%>

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<!DOCTYPE html>


<html>
    <head>
         <meta charset="utf-8" />
        <link type="image/x-icon" rel="shortcut icon" href="img/favicon.ico">
        <link title="Estilos" rel="stylesheet" href="css/estilos.css">

        <title>Cotizaciones</title>
    </head>
    <body>
        <div id="wrap">
            <a title="Back Home" href="http://logistas.com"><div class="logo"></div></a>
            <h1>Cotizaciones</h1>
             <div  align="center">
                 <div class="cnt_form">
             <form name="frmCotizaciones" action="" method="POST">
                 
            <table border="0">
               
                <tbody>
            
            <tr>
                    <td>
                        <strong><u>
                        DATOS PERSONALES / EMPRESARIALES
                        </u></strong>  
                    </td>
            </tr>                    
                
  
            <tr>
                    <td>
                        Ruc o DNI
                    </td><td colspan="2"><input class="txt" type="text" maxlength="11" onkeypress="return validarNumero(event);" name="RUC"></input></td>
            </tr>
    
            <tr>
                    <td>
                        Nombre o Razón Social
                    </td><td colspan="2"><input class="txt" type="text" maxlength="11" onkeypress="return validarNumero(event);" name="RUC"></input></td>
            </tr>
            
            <tr>
                    <td>
                        Persona a Contactar
                    </td><td colspan="2"><input class="txt" type="text" maxlength="11" onkeypress="return validarNumero(event);" name="RUC"></input></td>
            </tr>
            
            <tr>
                    <td>
                        Correo Electrónico
                    </td><td colspan="2"><input class="txt" type="text" maxlength="11" onkeypress="return validarNumero(event);" name="RUC"></input></td>
            </tr>
            
            <tr>
                    <td>
                        Teléfono
                    </td><td colspan="2"><input class="txt" type="text" maxlength="11" onkeypress="return validarNumero(event);" name="RUC"></input></td>
            </tr>
            
             <tr>
                    <td>
                        <strong><u>
                        DATOS DE ENVÍO
                        </u></strong>  
                    </td>
            </tr> 
            
            <tr>
    <td>Tipo de Transporte: </td>
    <td><select name="txttipo">
    <option>Carga Pesada</option>
    <option>Curier</option>
    <option>Encomiendas</option>
    <option>Mudanza</option>
    </select></td>
    </tr>
    
    <tr>
    <td>Tipo de Carga: </td>
    <td><select name="txttipo">
    <option>Carga General</option>
    <option>Carga Frangil</option>
    <option>Carga Perecedera</option>
    </select></td>
    </tr>
     
      
    
    <tr>
    <td>Provincia
    </td><td><select class="combo" name="origen"><option value="0">
      Seleccione la provincia
    </option><option value="CAJAMARCA">
      CAJAMARCA
    </option><option value="CHEPEN">
      CHEPEN
    </option><option value="CHICLAYO">
      CHICLAYO
    </option><option value="CHIMBOTE">
      CHIMBOTE
    </option><option value="GUADALUPE">
      GUADALUPE
    </option><option value="HUARAZ">
      HUARAZ
    </option><option value="JAEN">
      JAEN
    </option><option value="LIMA">
      LIMA
    </option><option value="LIMA PLAZANORTE">
      LIMA PLAZANORTE
    </option><option value="PACASMAYO">
      PACASMAYO
    </option><option value="PIURA">
      PIURA
    </option><option value="TRUJILLO">
      TRUJILLO
    </option></select></td>
                    </tr>
      <tr>             
    <td>
      Distrito
    </td><td><select class="combo" name="origen"><option value="0">
      Seleccione Origen
    </option><option value="CAJAMARCA">
      CAJAMARCA
    </option><option value="CHEPEN">
      CHEPEN
    </option><option value="CHICLAYO">
      CHICLAYO
    </option><option value="CHIMBOTE">
      CHIMBOTE
    </option><option value="GUADALUPE">
      GUADALUPE
    </option><option value="HUARAZ">
      HUARAZ
    </option><option value="JAEN">
      JAEN
    </option><option value="LIMA">
      LIMA
    </option><option value="LIMA PLAZANORTE">
      LIMA PLAZANORTE
    </option><option value="PACASMAYO">
      PACASMAYO
    </option><option value="PIURA">
      PIURA
    </option><option value="TRUJILLO">
      TRUJILLO
    </option></select></td>
    
    <td><select class="combo" name="destino"><option value="0">
      Seleccione Destino
    </option><option value="CAJAMARCA">
      CAJAMARCA
    </option><option value="CHEPEN">
      CHEPEN
    </option><option value="CHICLAYO">
      CHICLAYO
    </option><option value="CHIMBOTE">
      CHIMBOTE
    </option><option value="GUADALUPE">
      GUADALUPE
    </option><option value="HUARAZ">
      HUARAZ
    </option><option value="JAEN">
      JAEN
    </option><option value="LIMA">
      LIMA
    </option><option value="LIMA PLAZANORTE">
      LIMA PLAZANORTE
    </option><option value="PACASMAYO">
      PACASMAYO
    </option><option value="PIURA">
      PIURA
    </option><option value="TRUJILLO">
      TRUJILLO
    </option></select>
    </td>
  </tr>
            
   <tr>
    <td>
      Medidas
    </td><td colspan="2">
      
    Ancho(cm) 
    <input type="text" maxlength="2" onkeypress="return validarNumero(event);" size="10" name="Ancho"/>
    Largo(cm) 
    <input type="text" maxlength="2" onkeypress="return validarNumero(event);" size="10" name="Largo"/>
    Alto(cm) 
    <input type="text" maxlength="2" onkeypress="return validarNumero(event);" size="10" name="Alto"/>
    </td>
   </tr>
   <tr><td>Peso(Kg)</td> 
       <td><input type="text" maxlength="2" onkeypress="return validarNumero(event);" name="Peso"/></td>
    </tr>
    <tr>
        <td><input type="button" onclick="enviarCotizacion();" value="Enviar Cotizacion" name="btnCotizacion" /></td>
        </tr>
     </tbody>
            </table>
             </form>
                 </div>
             </div>
        </div>
       
    </body>
</html>

